BWXT Y•12 - Flexible Spending Accounts - Health Care Spending Account

Contributions
You can contribute from $100 to $5,000 annually to the health care spending account. Contributions are deducted from your Pay each pay period and credited to your flexible spending account.

Limit for Highly Compensated Employees
Certain highly compensated employees may be limited by the Internal Revenue Service as to how much they can contribute to the health care spending account each year. You will be notified if this limit applies to you.

Eligible Expenses and Dependents
You can use the health care spending account to pay for unreimbursable medical, dental, vision care, prescription and eligible over-the-counter drug expenses for you and your Eligible Dependents.

The term “Eligible Dependents” is defined in the Glossary.

You and your Eligible Dependents do not have to be covered under the Company’s medical or dental plans to participate in the health care spending account.

In general, you may be reimbursed for any health care expense that is not paid for by an insurance plan and is considered a deductible medical expense by the Internal Revenue Service, except health care insurance premiums. However, you cannot claim, as an income tax deduction, any expenses reimbursed or payable through the health care spending account.

Refer to Internal Revenue Service Publication 502 for a current list of eligible deductible expenses. To order a copy, call the Internal Revenue Service toll-free at 1-800-829-3676 or visit the IRS website at www.irs.gov.

Examples of eligible expenses that are currently allowable by the Internal Revenue Service include medically necessary:

fees for physicians, surgeons, dentists, ophthalmologists, optometrists, chiropractors, podiatrists, psychiatrists, psychologists, social workers, and Christian Scientist practitioners
fees for hospital services, therapy, nursing services, ambulance fees, laboratory, surgical, obstetrical, diagnostic, dental, and X-ray services
rehabilitation services
special equipment such as wheelchairs, special handicapped automotive controls, and special phone equipment for the deaf
special items such as dentures, artificial limbs, contact lenses, eyeglasses, hearing aids, crutches, and guide dogs for the vision or hearing impaired
prescription medicines, drugs, and insulin
cost of vasectomies, hysterectomies, and birth control
acupuncture
radial keratotomy and laser vision correction
non-elective cosmetic surgery
smoking cessation programs
over-the-counter drugs that treat a medical condition
weight loss programs prescribed by a physician to treat a medical condition.

Expenses Not Eligible
Examples of health care expenses that are ineligible for reimbursement through the account include:

expenses incurred before your date of participation
expenses reimbursed or reimbursable through any other policy, plan, or program
expenses claimed as a deduction or credit on your federal income tax return
elective cosmetic surgery
orthodontia for cosmetic purposes
tooth-whitening procedures
marriage or family counseling fees
household and domestic help, even if recommended by a doctor
custodial care in an institution
funeral and burial expenses
illegal operations or treatments
weight-loss programs, unless prescribed by a doctor to treat an existing disease/medical condition
maternity clothes, diaper services, etc.
vitamins or food supplements taken for general health purposes
cosmetics, toiletries, etc.
health care insurance premiums
hair transplant or removal
transportation expenses to and from work, despite a physical handicap
expenses merely beneficial to health, such as vacations or fitness programs, even if recommended by a doctor
any expenses incurred after you stop making contributions.

Filing Claims
When you incur an eligible medical, dental, vision care or prescription drug expense, you must pay the provider, file a claim with the insurance company and then submit a flexible spending account reimbursement request form, along with the explanation of benefits you receive from the insurance company, to the claims administrator, at the address on the bottom of the form.

Your claim must include a copy of the Explanation of Benefits (EOB) you receive after filing your insurance claim. For expenses that are not covered by your insurance, including copayments and eligible over-the-counter drugs, you will need to include other evidence clearly showing that you have paid the expense, such as a receipt from the provider. Eligible medically necessary items that you bought over-the-counter require the store receipt, the description and the dollar amount of the item, and the applicable sales tax amount.

The third party administrator for the plan releases reimbursement payments weekly for eligible expense claims which have been received and processed. If you have incurred eligible health care expenses, you may be reimbursed up to the total contribution amount you have elected for the plan year, regardless of your account balance.